Thick Twice Before You Fix
An 18-year old male presented with swelling of his leg with the mild tenderness of the tibia. X-ray showed a lytic lesion in the tibia (Figure 1(a)). The surgeon performed an open biopsy along with curettage and bone grafting. During curettage, he noticed a break in the cortex and therefore went on to do an interlock- ing nailing also (Figure 1(b)). The biopsy was suggestive of an Adamantinoma. It recurred within 3 months (Figure 1(c)). The nail caused a tumour to spread extensively. It also precluded an MRI scan to consider possible limb salvage. In spite of an above-knee amputation, he developed pulmonary metastasis and died. If the surgeon had given a plaster instead, such a catastrophe would have been avoided.